Meter Swap .
L Request Number: 15242
Public works Division
Service Request
Probiem Address: 6810 Hickory St Requested By: Don Mueller
Department: WA'IER Address: No address jxovickd
Problem/Issue: INSTALI,AMR ME1ER Phone Number: 651-491-6021
Scheduled�/`./ 2017-OS-10 Schedulcd 13me: 08:00:00
O ' � C 1'�
ACIION NEEDED:
Created by: Wendy Hiatt Date Created: 201?-US-09
ACTION TAI�N:
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5tatus: In Progress Submitter Hns Been �...
Co�acted
Date Co�pleted: � .,. ��1 � '� Completed by: C_ ��
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• City of Fridley • �^'
Water De artment �
P i��
6431 UniversityAvenue NE -� ��
Fridley,MN 55432 �
763-572-3566
�/We hereby authorize the C�ty of Fridley a�d/or its employees to da what is necessary to
replace tfie water meter. 1 understand that the property owner is liable for the water line from the main to the premise and all iMerior
plumbing. (Per City code 402.06) 1 also hold the City of Fridiey and/its employees harmless for arry damages that may occur white doing this
operation. This to include,but not limited to valves,piping,walls,floors or the curb siop box and senrice liae. In understa�d!am also required
to obtain a perm'st prior to arry work,if necessary.
FINAL METER READING(oid meter] ����`V�
Name: �a�-. �tN'�1��� (o Address v I V `_1 �t �� .
Phone Number ���` `�' ' �L o� � Date �� �v v � /
Signature Witness Signature
OLD METER# __ ��1 ����
OLD READING ���� 4 u �
NEW METER# ��� D �� ��
NEW READING "
ERT# ��� ) ����
FRIDLEY CITY CODE
CNAPTER 402.WA7ER,STORM WATER AND SANlTARY SEWER
ADMfNiSTRATION
(Ref Ord No 113,464,565,566,629,638,662,92Z,988,1144,1156,1191j
402.5 PERMtT FEE
Prior to constructing or repair of ar�y water af sewer iine connecting the existing mu�icipal system and any house or Iwiiding for which the
appiication is made,the owner or contractor shall be required to obtain a permit for such wnnection,and shall pay a permit fee as provided in
Chapter li of this Code. After such connection has been made,tbe Water and Sewer Departmerrt sfiall be notFFied. It shail be unlawful to cover
any connecting line until an i�spection has been made and such connection and the work incident thereto has been apptoved�y the City as a
proper and suitable connection.
40Z.06 REPAIRS AND MAIN7'ENANCE TO CONNECTION
After the initiai connection has been made to the water service curb stop box or the sewer lea+d at the property line or a water service Mad has
been extended to the property line for connection,the applicar�t,owner,or occupant or user of such premtses shall be liable for alt repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. if the property owner
requests maintenance service or repairs be perFormed by the City,the property owner shall be charged for the casts of the maiMenance andJor
repairs,inciuding necessary street repairs at a rate set annually by an administrative poliry. It shall be the responsibiltty of the applicarrt,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main including debris dearing or
root cutting and to maintain the water senrice curb stop box for operability and at such height as will ensure that it remains above the�nished
grade of the land or property. (Ref 638,1156,1191)